Separate compulsory personal accident cover
I
do not have
driving license
I
do not have
a PA cover worth RS. 15L
Bajaj Allianz House,
Airport Road, Yerawada,
Pune-411006
Great going, John!!
You're almost done.
Just a few more steps to go.
FirstName LastName
99999
99999
99999
99999
99999
99999
99999
99999
99999
Your changes have not been saved.
To save them click 'Cancel' and then the 'Recalculate' button. To continue without making any changes click 'OK'
It expired 1 - 90 days ago
All the details entered here are directly related to the premium amount of your policy. Any changes in the details mentioned above will lead to a change in the premium amount.
Please enter full name
Please enter valid contact no
Please enter valid email id
Thank you for submitting your details!
Thank you for submitting your details!
Thank you for the interest shown in our insurance plan and submitting the details. On the basis of the information provided, our executive will get in touch with you. For future correspondence, You can also call on toll-free number 1800-209-0144 or mail us at websales@bajajallianz.co.in in case of any queries.
Disclaimer: I hereby authorize Bajaj Allianz General Insurance Co. Ltd. to call me on the contact number made available by me on the website with a specific request to call back. I further declare that, irrespective of my contact number being registered on National Customer Preference Register (NCPR) under either Fully or Partially Blocked category, any call made or SMS sent in response to my request shall not be construed as an Unsolicited Commercial Communication even though the content of the call may be for the purposes of explaining various insurance products and services or solicitation and procurement of insurance business. Furthermore, I understand that these calls will be recorded & monitored for quality & training purposes, and may be made available to me if required.
I hereby declare, on my behalf and on behalf of all persons proposed to be insured, that the herein statements, answers and/or particulars given by me are true and complete in all respects to the best of my knowledge and that I am authorised to propose on behalf of these other persons